Individual
DR. DAVID THOMAS MULLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., M.A.O.M.
Contact information
Practice address
1266 E REPUBLIC RD, SPRINGFIELD, MO 65804-7209
(417) 882-1000
(417) 447-1769
Mailing address
175 WATERFALL DR, OZARK, MO 65721-9535
(417) 343-8854
(417) 447-1769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2004008980
MO
171100000X
Acupuncturist
2004008980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190381
BLUE CROSS BLUE SHIELD
MO
01
—
226762
COVENTRY
MO
01
—
667565
UNITED HEALTH CARE
MO
01
—
674377
HEALTHLINK
MO
01
—
9355033
PHCS
MO
Enumeration date
08/13/2006
Last updated
11/20/2007
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